Failure to Provide Timely Notice of Medicare Non-Coverage
Penalty
Summary
The facility failed to provide a Notice of Medicare Non-Coverage (NOMNC CMS-10123) within the required timeframe to a resident receiving Medicare Part A skilled nursing services. The resident was admitted on 10/2/25 with multiple diagnoses, including an open wound to the lower left leg and muscle weakness. Record review showed that the NOMNC form was signed on 10/13/25, while the resident’s Medicare coverage for skilled nursing services ended on 10/14/25, giving only one day’s notice instead of the CMS-required minimum of two days. During an interview on 2/24/26 at 11:34 AM, the Executive Director confirmed that the facility did not provide the NOMNC at least two days prior to the end of Medicare coverage and acknowledged that it should have been provided earlier. This deficient practice had the potential to cause financial harm or distress for residents when they were not informed of their potential liability for payment when their Medicare Part A benefits ended.
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